Article Text

Download PDFPDF
Large hepatic adenoma in a 21-year-old male
  1. Gustavo Martinez-Mier1,2,
  2. Horacio Enriquez De los Santos3,
  3. Peter Grube-Pagola4
  1. 1Department of Organ Transplantation, Hospital General de Veracruz, Veracruz, Veracruz, Mexico
  2. 2Department of Organ Transplantation/Hepatobiliary Surgery, Nefrologia y Trasplantes de Veracruz, Veracruz, Veracruz, Mexico
  3. 3Department of General Surgery, IMSS, Veracruz, Veracruz, Mexico
  4. 4Department of Pathology, IMSS, Veracruz, Veracruz, Mexico
  1. Correspondence to Dr Gustavo Martinez-Mier, gmtzmier{at}


Hepatic adenoma is an uncommon benign lesion of the liver that occurs more frequently in women in their third and fourth decades. The female/male ratio is up to 11:1. Hepatic adenomas may be single or multiple occasionally reaching sizes up to 20 cm. They are non-cancerous lesions, however they can become malignant. We present a 21-year-old male patient with no medical history who presented with abdominal pain, a palpable abdominal mass, abnormal liver function tests and a 14 kg weight loss in a 2-year period. A CT scan was performed with a 17 cm tumour compressing intrahepatic bile ducts. The patient underwent a right hepatectomy with no complications. Histopathological analysis of the tumour revealed a hepatic adenoma with central necrosis. The patient is asymptomatic at 1-year follow-up.

View Full Text

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.